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General NPI Number Information
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NPI Number | 1235352121
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Entity Type | Individual
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Provider Name | ALLEN L CASTEEL DENTURIST
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 215 SMELTER AVE NE STE 3
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City | GREAT FALLS
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State | MT
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Zip | 59404-1937
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Country | US
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Telephone | 406-216-4746
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Fax | 406-216-4747
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Provider Business Mailing Address
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Address Line | 215 SMELTER AVE NE STE 3
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City | GREAT FALLS
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State | MT
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Zip | 59404-1937
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Country | US
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Telephone | 406-216-4746
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Fax | 406-216-4747
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number | MT DENTURIST 22
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License Number State | MT
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